HomeMy WebLinkAbout33150-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33128
Date: 06/30/08
THIS CERTIFIES that the building HOT TUB
Location of property: 1125
(HOUSE NO.)
County Tax Map No. 473889 Section 104
STERLING RD
(STREET)
Block 1
CUTCHOGUE
(HAMLET)
Lot 26
Subdivision
Fil.ed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
fil.ed in this office dated
MAY 18, 2007 pursuant to which
Building Pennit No. 33150-Z
dated
JUNE 21, 2007
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is HOT TUB AS APPLIED FOR.
The certificate is issued to BETH PIKE
(OWNER)
of the aforesaid building.
SUFFOLK COtJlllTY DEPAR'nmRT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
4004104
06/24/08
PLUMBERS CERTIFICATION DATED
N/A
~ze~
Rev. 1/81
Sllt, 910 ( i.?5L- 3
Form No.6
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TOWN HALL . . "I
765-1802_ ,~ . 2 3,. i )i
APPLICATION FOR CERTIF1CATE OF OCCup~~yi.TI';_ . .C",' ~
This application must be filled in by typewriter or ink and submitted to the Building Department wiihthe fonow'~!
A. For new building or new nse:
I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Swom statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. (01 J 3 ) () ~'
New Construction:
Old or Pre-existing Building:
Sky \I-~ r~
House No. St eet
Owner or Owners of Property: _~ P \ ~
lay
( check one)
C -t+CJ..vJCOR~ ~
Hahuet
Location of Property:
\ I d'S
Suffolk County Tax Map No 1000, Section
Block_l
Lot d..k,
Subdivision
Date of Permit. 0 !d.11 \:)/
Filed Map.
Lot:
Permit No. ~315D
Applicant:
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for: Temporary Certificate
Fee Submitted: $ q/lj-: tV
Final Certificate: XJ
.
(check one)
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lID.lID
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~ NEW YO~k T~~~;;~C~~ o~I~~~~~~~WRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ :/jl':; ~
~ CERTIFIES THAT --' ~
I Upon the application of upon premises owned by I
~ ~
~ BETH PIKE BETH PIKE ~
~ ~~D ~~~ ~
~ MATTITUCK, NY 11952 MATTITUCK, NY 11952 ~
~ Located at 1125 STERLING RD CUTCHOGUE, NY 11935 ~
~ Application Number: Certificate Number: 4004104 ~
~ 4004104 ~
~ Section: Block: Lot: Building Permit: . BDC: n511 ~
~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located inion the premises at: ~
I ~ ~
~ ~
~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~
~ herein, was conducted in accordance with the requirements of the applicable code andlor standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
~ authority having jurisdiction, and found to be in compliance therewith on the 24th Day of June, 2008. ~
~ Name OTY Rate Ralin. Circuits ~ ~
~ AdditionalCharges ~
~ supply power to self contained portable hot ~
~ ~ ~
~ Wiri~~d~~ ~
F.!I GFCI Circu~ Breaker 1 0 15a ~
~ Reeeptacle 1 0 Gen, Purpose ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ seal ~
~ 1 of 1 ~
~ ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
lID.@)
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
33150 Z
Date JUNE
21, 2007
permission is hereby granted to:
BETH PIKE
1125 STERLING RD
CUTGHOGUE,NY 11935
for
HOT TUB INSTALLATION TO CODE
at premises located at
1125 STERLING RD
CUTCHOGUE
County Tax Map No. 473889 Section 104
Block 0001
Lot No. 026
pursuant to application dated MAY 18, 2007 and approved by the
Building Inspector to expire on DECEMBER 21, 2008.
Fee $
250.00
7
/
;{~
Authorized
,
Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
.
TOWN HALL,
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthold/ PERMIT NO.
.? -3 di;J C:.-
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying')
Board ofRealth
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Examined
Approved
Disapproved alc
1)1 ,20~
,20Jij
Mail to:
Expiration
14/(,20tJ(
Phone:
!cJt~
-
~
.", :(. \...\\
\ APPLICATION FOR BUILDING PERMIT
Building Inspector
\ '6
~
.
a\ This "\lPplication MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plahs;accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
_J
Date
.:sIn
,20~
INSTRUCTIONS
- J MM ~OIi~r."E:::L.Y
ENCLOS" P(\NTO CODi
UPON COMPLETION
BEFORE "WATER"
ful< a l {J; Ju
(Signature of applicant or name, if a corporation)
ALL C0o\l51124JCijO;\)
MEET THE RE'C()~W"l&Jtr, or
CODES OF N(ii l'u,',l\ "T~T~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
.).$
,
APPROVED AS NOTED
BY. # 3.3/ Q):(3
f) y ~ DATE:
Name of owner of premises 1./ l't:::
.. " UN~~lTtlI1-8!~:URt~?{ latesf." I!' o~ ~rmUJT ^T
If applIcant IS a corporalton, sIgnature of duly authon:~dl6l4li...,~~ NC,! - BUI.. ~. . "' _ 'E"
IItWIIltli - 765.1802 8 f :. 1 4 ~~~ FO" I H
FOllOWiNG i. :SI'EC,-
1. FOUr,DATiON - TI. HEOUiR::D
FOR POURED,': ,J,ETE
2. ROUGH - F' ,,:,\';-JG & PLU!~S!NG
3. INSUlAT' .':
4. FINAL. (C'STR' '-,ON !:,UST
BE COMPlc "E f . O.
ALL CONS"!"Rl:2W " \Ll MEET THE
REQUIREMEtHS O~C CODES OF NEW
YORI< STATE. NOT h~SPONSIBlE FOR
(Name and title ofcorporatecSe~0PANCY OR
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Wi lROOTCERTfftCA TE
)F OCCtfPANCY
1. Location of land on which pro
1\;;1'$ 'S '{I
House Number
osed work will be done:
C
'3'S_
Hamlet
County Tax Map No. 1000 Section
Subdivision
(Of
Block (
M ..fi'i~ Map~"._
Lot ~,";HAq
Lot . ,',id"q,...
, ._'j::idiM
'J,,'!"'lctt~
,-_._..<1 lqoll
(Name)
V1Tlc;,
~ :
....,,!
;1l~
d'SiJf
2. State existing use and occupancy of preIIJfses and intended use and occu ancy of pro
a. Existing use and occupancy r R. -
b. Intended use and occupancy d/lr1U a < abJN
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
5. If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work tfu T TU/2.,-:;- :r:et' ~ivJrlfhp
h (Description)
Fee r ~'S'O' CJO
(To be paid on filing this application)
Number of dwelling units on each floor
4. Estimated Cost
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_
13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_
,
14. Names of Owner of premises r& 1VI/t..Pll:-e Address II d-<' Sierl"^9 ~ Phone No. 7 3lf -c;; '5 'X' .2
Name of Architect Address Phone No
Name of Contractor Address Phone No.
IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ~
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
I
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
~l
17. If elevation at any point on property is at 10 feet or below, must provide topogr~~hical data on sUrVe/
18. Are there any covenants and restrictions with respect to this property? * ';~S ~
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
~
COUNTY . .
i( A I?,/.(f bciftglimy sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform ot 'h~ve performed the said work and to make and file this application;
that all statements contained in this application are true to the besf of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn t~fore me this
/ ~~o~
....., t w Vortc . Pl\TRICIA CORWIN
No. 011:05017852 ....., Puhlir ': .Jte of New
_ ClIIIIIdln~County No ."'852
_flIpiIaSlpl.13 -'~"''7 quallfle"",,,iolk Countr
'-I CommiSSion Explfes Sepl13,_
..--.:::.:
33150 Z-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRucnON
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
c~ ~O~Ef-
~, rsf!/
DATE
1o-i-f--1>-b
INSPECTOR ~~
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p~
II~S~~ ~,
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TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRAnON
REMARKS: ~-d.L ~ t2--~
c..-~ r 1A~ ~~...
~, 1:-~~:::&
DATE S -7 - 0 7 INSPECTOR~' ~
FIELD INSPECTION REPORT DATE I
FOUNDATION (1ST)
----------~-------------------------
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
COMMENTS
--
--- -~--
--.------------ ---------~~---
------
-
INSULATION PERN. Y. --
STATE ENERGY CODE
FINAL
-
".--ttS" -0 I'i? rr 01 -j-"Ir " .., I.s.. 0 k. .-f=--.h -A...- ~
- . - /11^';/- Jw..-C~. --9 '//7
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ADDITIONAL COMMENTS
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OWNER
()
TOWN OF SOUTHOLD PROPERTY RECORD CARD
!oy./..2to
e
FORMER OWNER
,4. p,.
/l, YJla 'IIV'
RES.
LAND
7d6
. . 'Zoo
70
rulable
Noadland
~~
-louse Plat
, rotal
TOTAL
L~~.
b
--
--
11-; 0
STREET ,','-:)
. l <-c
VILLAGE
DIST. i SUB. LOT 4 ~ + .v No t "# /2....r
Y ffi S" J" clll Fa. (; - ,0;'1/.
AC~W1
TYPE OF BUILDING
J;.~ ~ 1,,;,
N Cc
S
,Ji-er /1;'
ue
Dad
W
,c( I IU c1GtJ.1- 1;.
COMM. CB. MICS. Mkt. Value
FRONTAGE ON WATER
FRONTAGE ON ROAD / U 0 f t
DEPTH
BULKHEAD
?.!iL - 700
..
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104.-1-26 1/06 ~( :11 2- I..
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M. Bldg. .l
~~15iOO 2 ~ ""'I~. "q3,(p 5~ S/If'R
-
ExteMion
. ~nslon \0 )( (4 0 /40 ?:,fR. LfqO I'$' Z"e\'
Foundation lo,c, Both 2:, Dinette
Porch Basement c.., \ Floors K. ./
IIorc:h Ext. Walls ..( .. ,;",( c .<. rior Finish ~(i!- LR. ./
Breezeway Fire Place '/(<-. . ifteat ~~s. . DR.
Garage k~'l..jA ' t;2.<e, \~! {CO "ype Roof Rooms 1 st Floor BR. 3
Patio R.creation Room Rooms 2nd Floor FIN. B
0.8. A-L ~~ ~ Dormer Driveway ~ \ Z,
1'GtaI 1/06 . 'LfCf8 1::t...
-
~OLOR
TRIM
t:....~
LAND NOW OR FORI/ERL Y OF
CHARLES C, WAITS Jr,
IMPROVED SERVICED BY PUBLIC WA TER
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N 69'48'50' E 100 00' _ _
N 69'48'50' E
25.05'
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. CONCRETE .
FOUNDATION q
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FEHCEOi'H
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- ,- S 69'46'50' W 100.00'
S 69'4~50' W
25,OS
""-0
~t5S
STERLING ROAD
~OF!>~VEM::-"NT _._h/,,/,
II/PROVED WELL AS SHOWN
SANITARY REAR YARD
EXACTLOC.UNKNOWN
1:<_
/,\(,01/0"
y.,O~
f:'IrAR' IN PIlON
crlOC~"'R;'ARO
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Cu+c ?tcYju(
LOT AREA:
PARCEL 1: 18.1153 SO.FT. .. 0.417 ACRE
ELEVATIONS HEREON REFER TO APPROX, I/SL DA TUI/ AND
ARE THE RESULT OF ACTUAL FIELD I/EASURE!/ENTS
NO SURFACE WA TER EVIDENT WITHIN 300' OF PARCEL 1
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CERTIFIED TO: BETH PIKE
COI/MNWEAL TH LAND TITLE INSURANCE CO,
JOB NO, 2004-487
MAP NO. 1179
FILED: !/ARCH 28, 1935
REVISIONS: AOD ROAD ABANDONMENT
11A}112OO4
FOUNDATION lOCA TION 1212<12004
HANDS ON SURVEYING
48 NORTH ROAD '
HAMPTON SA YS, NEW YORK 4ft'
11946 -'
TEL (831)-123-1954 - FAX:(631)-723.1329 .
MARTIN . HAND ,S
C;..Jij _ 5/b -1G 7-('5G3
Q 73L(- 0S7)-;'-
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30932
Date: OS/24/05
THIS CERTIFIES that the building
NEW DWELLING
Location of Property: 1125
(HOUSE NO.)
County Tax Map No. 473889 Section 104
STERLING RD
(STREET)
Block 1.-
CUTCHOGUE
(HAMLET)
Lot 26
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
NOVEMBER 17, 2004 pursuant to which
Building Permit No. 30807-Z
dated
NOVEMBER 30, 2004
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ONE FAMILY DWELLING WITH COVERED ENTRY AND ATTACHED TWO CAR GARAGE AS
APPLIED FOR.
The certificate is issued to BETH A PIKE
(OWNER)
of the aforesaid building,
05/19/05
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RI0-04-0171
ELECTRICAL CERTIFICATE NO.
2043689
05/18/05
PLUMBERS CERTIFICATION DATED
05/18/05 K & K PLUMBING & HEATING
m~~~
uthorize Signature
Rev. l/al
Town Hall, 53095 Main Road
P,O, Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 26, 2008
Ms. B. Pike
1125 Sterling Road
Cutchogue N.Y. 11935
To Whom It May Concern:
Weare unable to complete your Certificate of Occupancy because of the following
reasons:
An application for Certificate of Occupancy is not on file. (Enclosed)
~o Electrical Certificate on file.
The Check is not on file -$25.00
No Health Department Approval on file.
No final inspection has been made.
Fax (631) 765-9502
Telephone (631) 765-1802 J
. ~ f{'r ~S\)
r~\\ W"\'
\. S,\e'
No Plumber Solder Certificate on file. (All permits involving plumbing being
issued after April 1, 1984)
Certificate of Compliance from Southold Town Trustees.
Approval of the Zoning Board of Appeals*
Final Planning Board Approval.
BP #33150 Hot Tub
-
EDWARD FORRESTER
DIRECTOR OF CODE ENFORCEMENT
Southold Town Hall Annex
54375 Route 25, P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1939
Facsimile (631) 765-6639
e-mail:
ed.forrester@town.southold.ny.us
TOWN OF SOUTHOLD
May 14, 2007
Beth A. Pike
PO Box 907
Mattituck NY 11952
Re: Property at 1125 Sterling Road, Cutchogue
SCTM# 1000-104-1-26
Dear Ms. Pike,
Please be advised that a complaint has been forwarded to this office concerning
property you own, referenced above. The Building Inspector has examined the property
and determined that a hot tub has been built without a valid Building Permit. This
represents a violation of Southold Town Code.
Please take the steps necessary to remedy this condition immediately.
Should you require information concerning obtaining a permit, contact the Building
Department.
Thank you for your anticipated cooperation.
Sincerely,
~~ J\~
Edward Forrest~
Director of Code Enforcement